OrganizationActive
Evernorth Behavioral Care Group of New Jersey, P.C.
NPI 1104602234 · Counselor · Lake Mary, FL
Provider details
- NPI number
- 1104602234
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Nelson, Legal Counsel(843) 540-7108
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
255 Technology Park
Lake Mary, FL 32746-6211
Phone: (877) 501-7991
Street-level locationGet directions
Mailing address
625 Market St Fl 15
San Francisco, CA 94105-3316
Registry dates
- Enumerated
- 2023-09-05
- Last updated
- 2023-12-07
- Certified
- 2023-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.